Estimulación Transcraneal de Corriente Directa en Parkinson

Revisión Sistemática

  • Diana Marcela Prieto Vega Fonoaudióloga, Estudiante de Maestría en Neurociencias del programa de Pos-graduación en Neuropsiquiatría y Ciencias del Comportamiento de la Universidade Federal de Pernambuco, Recife-PE, Brasil.
  • María Lúcia Gurgel da Costa Fonoaudióloga, Doctora en Educación, Profesora Adjunta del Departamento de Fonoaudiologia, Universidade Federal de Pernambuco, Recife-PE, Brasil.

Resumo

Introduction. Determine if Transcranial Direct-Current Stimulation (tDCS) can improve skills and be a safe method that it can be used as a tool for therapeutic support in patients with Parkinson’s disease. Method. A literature search was conducted on studies, published between the years 2002 to 2012 in the databases PubMed, SciELO and Bireme, in English, Portuguese and Spanish languages. Results. Nineteen bibliographic references were found, of these, five filled the inclusion criteria, however, only three references had a score equal to or greater than 3, fulfilling the methodological quality criteria accord­ing to Jadad scale parameters. One of these three references obtained the highest methodological quality score. Conclusion. The results of this review suggest that tDCS use is a safe method that improves mo­tor skills such as gait and agility of upper limbs movements and cogni­tive abilities such as working memory. Also, it suggests be an option to accompany traditional therapeutic procedures. However, further research is needed to understand the therapeutics scopes.

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Referências

Shulman M.J, De Jager P. Parkinson’s disease genetics and pathogenesis. Annu Rev Pathol-Mech Dis 2011;6:193-222. http://dx.doi.org/10.1146/annurev-pathol-011110-130242

Parkinson’s disease Research Agenda: National Institute of Neurological Disorders and Stroke (NINDS). Estados Unidos de América: National Institute of Neurological Disorders. (ultima actualización 6/2012; citado en 2/2012). Disponible en: http://www.ninds.nih.gov/about_ninds/plans/nihparkinsons_agenda.htm

Chae J, Li X, Nahas Z, Kozel F, George M. A review of the new minimally invasive brain stimulation techniques in psychiatry. Rev Bras Psiquiatr 2001;23:100-9. http://dx.doi.org/10.1590/S1516-44462001000200009

Boechat-Barros R, Brasil-Neto J. Estimulação Magnética Transcraniana na depressão: resultados obtidos com duas aplicações semanais. Rev Bras Psiquiatr 2004;26:100-2. http://dx.doi.org/10.1590/S151644462004000200006

Boggio P, Fregni F, Rigonatti S, Marcolin M, Araujo M. Estimulação magnética transcraniana na neuropsicologia: novos horizontes em pesquisa sobre o cerebro. Rev Bras Psiquiatr 2006;20:44-49. http://dx.doi.org/10.1590/S1516-44462006000100010

Fregni F, Pascual-Leone A. Technology insight: noninvasive brain stimulation in neurology e perspectives on the therapeutic potential of rTMS and tDCS. Nat Clin Pract Neurol 2007;3:383-93. http://dx.doi.org/10.1038/ncpneuro0530

Sampaio R, Mancini M. Estudos de revisão sistemática: um guia para síntese criteriosa da evidencia cientifica. Rev Bras Fisioter 2007;11:83-89. http://dx.doi.org/10.1590/S1413-35552007000100013

Cochrane Handbook for Systematic Reviews of Interventions The Cochrane Collaboration: Estados Unidos de América. The Cochrane Collaboration. (ultima actualización: 03/2011; citado en: 4/2012). Disponible en: http://handbook.cochrane.org/

Grüner K, Eggers C, Ameli M, Sarfeld A, Fink G, Nowak D. 1 Hz rTMS preconditioned by tDCS over the primary motor cortex in Parkinson’s disease: effects on bradykinesia of arm and hand. J Neural Transm 2010;117:207-216. http://dx.doi.org/10.1007/s00702-009-0356-0

Pereira J, Junqué C, Bartrés-Faz D, Martí M, Sala-Llonch R, Compta Y, et al. Modulation of verbal fluency networks by transcranial direct current stimulation (tDCS) in Parkinson’s disease. Brain Stimul 2012;1:16-24.

Fregni F, Boggio P, Santos M, Lima M, Vieira A, Rigonatti S, et al. Noninvasive cortical stimulation with transcranial direct current stimulation in Parkinson’s disease. Mov Disord 2006;21:1693-1702. http://dx.doi.org/10.1002/mds.21012

Benninger D, Lomarev M, Lopez G, Wasserman E, Li X, Considine E, et al. Transcranial direct current stimulation for the treatment of Parkinson’s disease. J Neurol Neurosurg Psychiatry 2010;81:1105-1111. http://dx.doi.org/10.1136/jnnp.2009.202556

Boggio P, Ferrucci R, Rigonatti S, Covre P, Nitsche M, Pascual-Leone A, et al. Effects of transcranial direct current stimulation on working memory in patients with Parkinson’s disease. J Neurol Sci 2006;249:31-38. http://dx.doi.org/10.1016/j.jns.2006.05.062

Nitsche M, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation. J Physiol 2000;527:633-639. http://dx.doi.org/10.1111/j.1469-7793.2000.t01-1-00633.x

Purpura DP and McMurtry JG. Intracellular activities and evoked potential changes during polarization of motor cortex. J Neurophysiol 1965;28:166-185.

Nitsche M, Friecke K, Henschke U, Schilitterlau A, Liebetanz D, Lang N, et al. Pharmacological modulation of cortical excitability shifts induced by transcranial direct curent stimulation in human. J Physiol 2003;553:293-301. http://dx.doi.org/10.1113/jphysiol.2003.049916

Gandiga P, Hummel F, Cohen L. Transcranial DC stimulation (tDCS): a tool for doublé-blind sham-controlled clinical studies in brain stimulation. Clin Neurophysiol 2006:117:845-850. http://dx.doi.org/10.1016/j.clinph.2005.12.003

Rossini P, Barker A, Berardelli A, Caramia M, Caruso G, Cracco RQ, et al. Non-invasive electrical and magnetic stimulation of the brain, spinal cord and roots: basics principles and procedures for routine clinical aplication. Report of an IFCN committee. Electroen Clin Neuro 1994;91:79-92. http://dx.doi.org/10.1016/00134694(94)900299

Publicado
2013-09-30
Como Citar
Vega, D. M. P., & Costa, M. L. G. da. (2013). Estimulación Transcraneal de Corriente Directa en Parkinson. Revista Neurociências, 21(3), 356-363. https://doi.org/10.34024/rnc.2013.v21.8160
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Artigos Originais